Bilio-thorax: an unrecognized complication of liver surgery
| Autor: | Abid Jamal, Asad Kerawala |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Thorax
ARDS medicine.medical_specialty Percutaneous Pleural effusion Biliothorax Article 03 medical and health sciences 0302 clinical medicine medicine Liver resection business.industry Tube thoracostomy Pleural cavity medicine.disease Empyema humanities Surgery medicine.anatomical_structure Abdominal trauma Oncology 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Complication business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Metastasis surgery is not very common in developing countries. • Hence Surgeons are not aware of the complications • Bile presence in Pleural cavity is rare and detrimental to patient. • High index of suspicion is required in such cases. Introduction Although a rare complication, Biliothorax, or chole-thorax as it has been called in literature, is a devastating entity if not recognized early. Various causes have been reported for biliothorax like inflammatory, abdominal trauma, neoplastic, the most frequent being percutaneous hepatic intervention. Case We present the case of a 60 year old male, treated for colon cancer, who developed this complication after liver surgery. He was promptly diagnosed, managed conservatively and responded to our treatment. This has been infrequently reported. Discussion Although a rare complication, Biliothorax, is a fatal complication if missed. The presence of bile in the pleural cavity is damaging and can lead to empyema, entrapped lung and even ARDS. Hence it is imperative to recognize early, find the cause and treat appropriately. Conclusion Biliothorax is an under reported complication of liver surgery which can have disastrous effects on the patient leading to morbidity and even mortality. It is vital to recognize it early and treat accordingly. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|